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中华神经创伤外科电子杂志

中华神经创伤外科电子杂志 ›› 2020, Vol. 06 ›› Issue (03) : 172 -175. doi: 10.3877/cma.j.issn.2095-9141.2020.03.009

所属专题： 文献；

短篇论著

半-半椎板入路显微手术切除C2段脊神经鞘瘤
刘元钦1, 张庆露2, 李翠玲1, 李博1, 张荣伟1, 刘广存1,†()   
  1. 1. 250016　济南，山东第一医科大学第一附属医院神经外科
    2. 250031　济南，山东省立第三医院特检科
  • 收稿日期:2019-10-08 出版日期:2020-06-15
  • 通信作者: 刘广存
  • 基金资助:
    国家自然科学基金(81471214)

Microsurgical resection of C2 spinal neurilemmoma through hemi-semi lamina approach

Yuanqin Liu1, Qinglu Zhang2, Cuiling Li1, Bo Li1, Rongwei Zhang1, Guangcun Liu1,†()   

  1. 1. Department of Neurosurgery, The First Affiliated Hospital of Shandong First Medical University, Ji’nan 250016, China
    2. Department of Special Examination, Shandong Provincial Third Hospital, Ji’nan 250031, China
  • Received:2019-10-08 Published:2020-06-15
  • Corresponding author: Guangcun Liu
  • About author:
    Corresponding author: Liu Guangcun, Email:
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引用本文：

刘元钦, 张庆露, 李翠玲, 李博, 张荣伟, 刘广存. 半-半椎板入路显微手术切除C2段脊神经鞘瘤[J]. 中华神经创伤外科电子杂志, 2020, 06(03): 172-175.

Yuanqin Liu, Qinglu Zhang, Cuiling Li, Bo Li, Rongwei Zhang, Guangcun Liu. Microsurgical resection of C2 spinal neurilemmoma through hemi-semi lamina approach[J]. Chinese Journal of Neurotraumatic Surgery(Electronic Edition), 2020, 06(03): 172-175.

目的

探讨半-半椎板入路显微手术切除C2段脊神经鞘瘤的手术效果和安全性。

方法

回顾性分析山东第一医科大学第一附属医院神经外科自2014年6月至2018年6月收治的12例C2段脊神经鞘瘤患者，均采用半-半椎板入路手术治疗，对手术前后临床资料进行分析，评价患者的临床疗效及脊柱稳定性。

结果

所有12例肿瘤均获得全切，术后病理证实均为神经鞘瘤，其中包括8例为哑铃型肿瘤，4例为小型球型肿瘤，术后及随访期内（6~36个月）患者术前症状明显改善，无手术并发症、肿瘤复发及脊柱不稳发生。

结论

半-半椎板入路手术能最大程度地保留原有骨性结构及脊柱稳定性，为C2段脊神经鞘瘤的切除提供足够的空间，可作为一种优先选择的手术方案。

关键词: 半-半椎板入路, 神经鞘瘤, 显微手术
Objective

To investigate the effect and safety of microsurgical resection of spinal neurilemmoma of C2 segment through hemi-semi lamina approach.

Methods

Twelve patients with spinal neurinoma of C2 segment who were treated in the First Affiliated Hospital of Shandong First Medical University from June 2014 to June 2018 were analyzed retrospectively. They were all treated by hemi-semi lamina approach. The clinical data before and after the operation were analyzed to evaluate the clinical efficacy and spinal stability of the patients.

Results

All the 12 tumors were completely resected, all of which were confirmed by postoperative pathology as neurilemmoma, including 8 cases of dumbbell tumor, 4 cases of small spherical tumor. The preoperative symptoms of the patients were significantly improved after the operation and during the follow-up period (6-36 months), and there were no surgical complications, tumor recurrence and spinal instability.

Conclusion

Hemi-semi lamina approach can retain the original bone structure and spinal stability to the greatest extent, and provide enough space for the resection of C2 neurilemmoma. It can be used as a preferred surgical option.

Key words: Hemi-semi lamina approach, Neurilemmoma, Microsurgery
图1 典型病例1术前术后的影像学资料
图2 典型病例2术前术后的影像学资料
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